Mr Charles Sonny Phipps Sr, LMSW is a
Social Worker - Clinical based in Detroit, Michigan. Mr Charles Sonny Phipps Sr is licensed to practice in Michigan (license number 6801094562) and his current practice location is
882 Oakman Blvd, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 961-7990.
NPI number for Mr Charles Sonny Phipps Sr is 1083854707 and his current mailing address is 16204 Mount Vernon St, Southfield, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083854707.
Healthcare Provider's Profile
Full Name | Mr Charles Sonny Phipps Sr |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 882 Oakman Blvd, Detroit, Michigan |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083854707
- Provider Enumeration Date: 02/21/2009
- Last Update Date: 09/08/2016
Medical Identifiers
Medical identifiers for Mr Charles Sonny Phipps Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083854707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 6801094562 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles Sonny Phipps Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Charles Sonny Phipps Sr, LMSW 16204 Mount Vernon St, Southfield, MI 48075-3108 Ph: (313) 920-1011 | Mr Charles Sonny Phipps Sr, LMSW 882 Oakman Blvd, Detroit, MI 48238-3710 Ph: (313) 961-7990 |
Reviews and Comments